<div class="row">
    <div class="col-xs-12">
        <div class="panel panel-midnightblue">
            <div class="panel-body">
                <form action="" class="form-horizontal row-border"  data-validate="parsley" id="validate-form">
                	<div class="row">
                		 <div class="form-group">
                    		<label class="col-sm-3 control-label" >通店卡号:</label>
                    		<div class="col-sm-5">
                    			<input type="text"  data-minlength="5"   required="required"  name="card_no" class="form-control" id="card_no"/>
                    		</div>
                    		<div class="col-sm-1">
                    			 <div class="btn-danger btn" id="btn-sync">同步</div>
                    		</div>
                    		<div class="col-sm-1">
                    			 <div class="btn-info btn" id="btn-submit">提交</div>
                    		</div>
                    		<div class="col-sm-1">
                    			 <div class="btn-default btn" data-dismiss="modal">关闭</div>
                    		</div>
                   		 </div>
                   		 <div class="form-group" id="in_varifycation_type_div">
	                    		<label class="col-sm-3 control-label" >选择店铺会员:</label>
	                    		<div class="col-sm-5">
	                    			<select class="form-control" name="shop_member" id="shop_member">
	                    			</select>
	                    		</div>
	                </div>
                	</div>
                </form>
            </div>
        </div>
    </div>
</div>
<script type='text/javascript' src='{$Think.ADMIN_VIEW_JS}member/commonshop.js'></script>